Tuesday, 23 May 2017

CASE 433: GIANT RETROPERITONEUM LIPOMA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.




Woman 44yo nullipareous, with abdomen  distention, and  clinical  suspected   ovary tumor.
US scanning of abdomen detected  all bowell loops in deplacement to left flank.

US 1: epigastric scanning detected  right kidney near left lobe liver.


US 2: big solid mass, hyperechoic  like  fatty tissue.


US 3, US 4  color Doppler  of this mass showed from  retroperitoneum which extended from the epigastric  to pelvis but  no deplacement of abdominal aorta.



MRI  with  gado:  This  big mass is in retroperitoneum deplaces right kidney to liver (MRI 1, MRI 2, MRI 3,  MRI 4 , MRI 5).  








Radiologist reports  that  retroperitoneal lipoma or retroperitoneal liposarcoma.
Operation removed this mass easily (see macro).



Microscopic report is lipoma.
Reference:

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